Three patients with severe hemophilia A with inhibitors to factor VIII were treated
with activated factor IX complex. Bleeiling was controlled adequately during surgical
procedures involving each of the three. Partial thromboplastin times showed a variable
shortening and prothrombin times were significantly shortened to values less than
normal. Hemostasis was substantiated by the use of epsilon aminocaproic acid. Neither
anamnestic responses nor thrombotic complications were observed. A transient hypertension
developed in two patients shortly after infusion with the activated factor IX complex.
Keywords
Autoplex - Surgical cases - Hemophilia A with inhibitors